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A 52-year-old male patient with newly diagnosed glioblastoma (gbm) started optune gio therapy on (b)(6) 2024.On (b)(6) 2026, the patient's spouse informed novocure that the patient had temporarily discontinued optune gio therapy on (b)(6) 2026, due to non-healing scalp lesions.The spouse stated that the infusion therapy was preventing the patient's scalp from adequately recovering and healing.Photographs provided showed both the left and right sides of the patient's scalp.Multiple moderately erythematous ulcerations and lesions were noted on the superior and left lateral scalp.An escharred ulceration was observed on the left scalp above the surgical resection site.Additionally, a small wound dehiscence with yellow exudate was present along the surgical incision.Multiple attempts were made to contact the prescribing physician for further information; however, no response has been received to date.
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Based on the available information, the contribution of the array placement to the wound dehiscence that might lead to a serious event, requiring medical and/or surgical intervention cannot be ruled out.Wound dehiscence is an expected event with optune gio device use (ef-11 0% and <1% ef-14 optune arm).Contributing factors for wound dehiscence in this patient include: concomitant bevacizumab (vegf inhibitor which carries a black box warning for wound healing complications, source bevacizumab prescribing information), prior dexamethasone use (impaired wound healing and increased risk of infection are listed as side effects.Source: dexamethasone prescribing information), prior radiation, underlying cancer disease and prior surgery affecting skin integrity.
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